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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Jun 25, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Hemorrhoidectomy in day surgery.

M Diurni1, M Di Giuseppe

  • 1mariodiurni@hotmail.it

International Journal of Surgery (London, England)
|February 28, 2009
PubMed
Summary
This summary is machine-generated.

Stapled hemorrhoidopexy (SH) offers less pain and quicker recovery than Milligan-Morgan hemorrhoidectomy (MMH). Ligasure and hemorrhoidal artery ligation are also viable alternatives for hemorrhoid treatment.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Surgical Technology

Background:

  • Day-case hemorrhoidectomy is a safe and accepted patient procedure.
  • Key surgical techniques include Milligan-Morgan hemorrhoidectomy (MMH) and Longo stapled hemorrhoidopexy (SH).
  • Advancements include Ligasure and Doppler-guided hemorrhoidal artery ligation.

Purpose of the Study:

  • To analyze randomized controlled trials comparing hemorrhoidopexy with conventional excisional surgery.
  • To evaluate Ligasure versus conventional hemorrhoidectomy.
  • To review reports on Doppler-guided hemorrhoidal artery ligation in outpatient settings.

Main Methods:

  • Systematic review of randomized controlled trials.
  • Searches conducted across major electronic databases: MEDLINE, EMBASE, CENTRAL.
  • Inclusion of studies from 2004-2008, involving 1276 patients.

Main Results:

  • Stapled hemorrhoidopexy (SH) demonstrated reduced postoperative pain and symptoms compared to Milligan-Morgan hemorrhoidectomy (MMH).
  • Ligasure offers a suitable alternative, though long-term outcomes require further evaluation.
  • Hemorrhoidal artery ligation is safe and easy to perform, but requires randomized trials to confirm efficacy and recurrence rates.

Conclusions:

  • SH presents a viable alternative to conventional hemorrhoid surgery, with distinct advantages and disadvantages regarding complications and costs.
  • Ligasure is a promising alternative, necessitating further long-term outcome and morbidity studies.
  • Hemorrhoidal artery ligation is safe and easily learned, but randomized trials are essential to validate its effectiveness and recurrence rates.